New patients ages 18 + please complete the Adult Intake Form, Release of Information and all Questionnaire Forms below prior to your first appointment. For children ages 10 -17 yrs please complete the Child Intake Form along with Release of Information and the GAD-7 and PHQ-9 Questionnaire forms. For your convenience, the forms are linked below to download and print.
HIPAA Authorization - Release of Health Information (pdf)
DownloadADULT INTAKE FORM (pdf)
DownloadCHILD INTAKE FORM (pdf)
DownloadConsent for Treatment (pdf)
DownloadGAD-7 Questionnaire (pdf)
DownloadGAD-7 Questionnaire (pdf)
DownloadY-BOCS Questionnaire (pdf)
DownloadPHQ-9 Questionnaire (pdf)
DownloadPHQ-9 Questionnaire (pdf)
DownloadPCL-5 Questionnaire (pdf)
DownloadMDQ Questionnaire (pdf)
DownloadPerceived Stress Scale Questionnaire (pdf)
DownloadBreakthrough Psychiatry Fee Schedule (pdf)
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